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MOMENTUM AGENCIES NPI 1720254535


NPI Information

NPI: 1720254535
Provider Name: MOMENTUM AGENCIES
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization

CLIA Number: 05D1066905

Address:
2170 N WESTLAKE BLVD
THOUSAND OAKS, CA
ZIP 91362
Phone: (805) 494-1141
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MOMENTUM AGENCIES is a residential treatment facility, intellectual and/or developmental disabilities in Thousand Oaks, CA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. MOMENTUM AGENCIES NPI is 1720254535. The provider is registered as an organization entity type.

The provider's business location address is:

2170 N WESTLAKE BLVD
THOUSAND OAKS, CA
ZIP 91362-122
Phone: (805) 494-1141
Fax: (805) 496-5823

The provider's authorized official is Kimberly Marotta .
The authorized official title is Accounts Receivable Manager and has the following contact phone number (818) 782-2211.

The CLIA number assigned to this NPI record is 05D1066905 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2008 and was last updated on 7/29/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities550000649CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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